RAVISH ASHOKKUMAR SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051747

License Status

EXPIRED

Business

First Name

RAVISH

Middle

ASHOKKUMAR

Last Name

SHAH

Suffix

Business Name

RAVISH ASHOKKUMAR SHAH MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009